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Frank's sign: silent predictor of coronary artery disease

Journal: International Journal of Advances in Medicine (Vol.1, No. 1)

Publication Date:

Authors : ; ; ;

Page : 66-67

Keywords : Frank's sign; Coronary artery disease;

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A 60 year old non hypertensive, non diabetic male presented in casualty with complaints of exertional breathlessness of 2 days duration. ECG and cardiac enzymes were within normal limit. General physical examination was normal except for the finding of bilateral ear lobe creases (Figure 1 & 2). With the possibility of angina equivalent patient was posted for coronary angiography which revealed total occlusion of left anterior descending artery and right coronary artery, 80% obtuse marginal and 70% left circumflex artery. LVEF was 25% and patient was advised for high risk CABG. Creased earlobes (Frank's sign) were alleged to be associated with an increased risk of coronary artery disease.

Last modified: 2014-06-17 23:14:35